| Cesar Cruz, M.d. A Professional Medical Corporation | |
|
415 W Route 66 Suite 202 Glendora CA 91740-4335 | |
| (626) 963-4467 | |
| (626) 963-9543 |
| Full Name | Cesar Cruz, M.d. A Professional Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 415 W Route 66, Glendora, California |
| Authorized Official Name and Position | Cesar Cruz (OWNER) |
| Authorized Official Contact | 9092791740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cesar Cruz, M.d. A Professional Medical Corporation Po Box 1770 La Mesa CA 91944-1770 Ph: (619) 464-1165 | Cesar Cruz, M.d. A Professional Medical Corporation 415 W Route 66 Suite 202 Glendora CA 91740-4335 Ph: (626) 963-4467 |
| NPI Number | 1437604600 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437604600 | NPI | - | NPPES |
| 00A120136 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A120136 (California) | Primary |
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